SAMamba3D: adapting Segment Anything for generalizable 3D segmentation of multiphase pore-scale images

Existing methods for adapting 2D foundation models such as SAM to 3D volumes either process slices independently---ignoring inter-slice context---or require substantial architectural changes and retraining. In this paper, we present \textbf{SAM+D}, a parameter-efficient framework that lifts SAM-family models by one spatial dimension---enabling 3D volumetric segmentation from 2D SAM and, for the first time via parameter-efficient fine-tuning, end-to-end 4D (3D+T) spatiotemporal segmentation from video-based SAM2---while keeping the vast majority of pre-trained parameters frozen. SAM+D introduces two lightweight, model-agnostic modules into frozen transformer blocks: (1)\textbf{Depth-Routed LoRA (DRLoRA)} experts with learned routing for spatially adaptive low-rank updates, and (2)\textbf{Depth Shift Modules (DSM)} for cross-slice feature exchange at zero additional parameter cost. Together, they provide volume-level context while tuning only ${\sim}$2.8% of parameters for SAM and ${\sim}$3.7% for SAM2. We evaluate SAM+D in two distinct settings, each lifting the base model by one spatial dimension: 3D segmentation, where SAM(2D$\,\to\,$3D) is evaluated on four CT benchmarks (KiTS, Pancreas, LiTS, Colon), and 4D segmentation, where SAM2 (2D+T$\,\to\,$3D+T) is evaluated on a cell tracking challenge (CTC) dataset (Fluo-N3DH-SIM+). In both settings SAM+D achieves competitive or superior results under the single-point prompt setting while using fewer trainable parameters than existing methods, demonstrating that SAM+D generalizes across SAM-family architectures, target dimensionalities (3D, 4D), and domains spanning medical imaging and bio-scene understanding. Code is publicly available at https://github.com/JerrySongCST/SAM-Plus-D.

Foundation models such as Segment Anything Model 2 (SAM2) have transformed natural-image and video segmentation, and recent work has begun adapting them to medical imaging. These adaptations, however, are largely general-purpose models that treat MRI as one modality among many; large-scale, MRI-specific modelling and benchmarking remain limited, even though MRI's low soft-tissue contrast leaves many boundaries effectively invisible on individual slices. We present SAMRI-3D, a benchmark and method for 3D MRI segmentation with SAM2. The SAMRI-3D benchmark is the largest MRI-only evaluation to date - 10,392 volumes from 34 datasets (27 public, 7 in-house) spanning 12 anatomical domains and 10+ sequences, with explicit seen/unseen splits. Freezing the image encoder and fine-tuning only the lightweight decoder and memory modules raises mean Dice from 0.58 (zero-shot SAM2) to 0.76, surpassing recent SAM-based medical models (SAMed-2 0.69, Medical-SAM2 0.49, SAM-Med3D 0.37) with strong statistical significance. To target invisible boundaries, we introduce Global Volume Tokens (GVT): persistent memory tokens trained with a Truncated Signed Distance Field (TSDF) reconstruction objective that is discarded at inference (zero added cost). This full model, SAMRI-3D, attains the best accuracy (0.78) and lowest variance across all 34 datasets and, uniquely, shows no drop on 8 held-out datasets (0.79 unseen vs. 0.78 seen); per-sequence analysis confirms the TSDF objective helps most where per-slice contrast is weakest. We will release the benchmark, code, and models in this paper.

Is Segment Anything Model 3 (SAM3) capable in segmenting Any Pathology Images? Digital pathology segmentation spans tissue-level and nuclei-level scales, where traditional methods often suffer from high annotation costs and poor generalization. SAM3 introduces Promptable Concept Segmentation, offering a potential automated interface via text prompts. With this work, we propose a systematic evaluation protocol to explore the capability space of SAM3 in a structured manner. Specifically, we evaluate SAM3 under different supervision settings including zero-shot, few-shot, and supervised with varying prompting strategies. Our extensive evaluation on pathological datasets including NuInsSeg, PanNuke and GlaS, reveals that: (1) text-only prompts poorly activate nuclear concepts; (2) performance is highly sensitive to visual prompt types and budgets; (3) few-shot learning offers gains, but SAM3 lacks robustness against visual prompt noise; and (4) a significant gap persists between prompt-based usage and task-trained adapter-based reference. Our study delineates SAM3's boundaries in pathology image segmentation and provides practical guidance on the necessity of pathology domain adaptation.